Page 40 - Children Bookt.pdf

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Assessment of readiness requires Adherence assessment can be done
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child's perspective towards treatment o open and direct questioning
but also to evaluate the willingness o pill counting
/ ability to swallow medicines. o self report of child (e.g.
Swallowing of pills can be taught through drawing, stickers in
(starting with smaller pills, see diary)
swallowing protocol); alternatives o assessing the understanding
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@ & of given information
tablets, opening of some capsule, use The limitations of adherence
of syrup). assessment should be acknowledged
Prophylactic drugs can be used as with the focus on support for
a tool to assess adherence prior to unconditional adherence from the
starting HAART very beginning.
Tools for adherence support (e.g.,
diary for self reporting)

Related to the caretaker

The role of the caretaker is crucial Caretakers should join the children’s
!

activities and can apply tools
evaluation of his/her relationship with themselves to communicate with their
the child is a prerequisite child.
The caretaker should understand and Communication between caretaker
accept his responsibility for all doses and health care provider should take
of the child's medication place in a friendly relationship. This
Communication with the caretaker should can take place in individual sessions

* but also through group counselling.
o the caretaker's attitude towards Group counselling offers problem
HIV/AIDS sharing and support from peers.
o

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Evaluate the needs and feelings of the
HAART caretaker. Other problems, different
o all caretakers unanswered questions from the child's health, might be a
that might lead to stress or isolation priority.
of the child The crucial role of the caretaker
o essential issues like HIV in ensuring adherence should be
transmission, AIDS can be acknowledged at every visit. Tools
treated, children can grow, and the to support adherence (reminders, pill
importance of adherence '&
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o basic knowledge on OI and ARV and caretaker.
treatment
– !6

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part of a family-centred model of care

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if needed.

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